NPI | 1568878965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2014020909) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036152701) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2025-08-19 |